A Conceptual Framework of Nursing in Native American Culture

Lowe, John; Struthers, Roxanne

doi:10.1111/j.1547-5069.2001.00279.x

Cited by 68 publications

(60 citation statements)

References 12 publications

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“…The dimensions and characteristics of this combined instructional strategy assist the learner in his/her development as a whole person, someone who is aware of his/her own weaknesses and strengths, and conscious as well of the weaknesses and strengths of others. Such an instructional strategy is holistic in that it demonstrates the qualities that Lowe and Struthers (2001) identify as the main aspects of holism: balance, culture and relationship. But it is also inclusive in two important ways.…”

Section: Resultsmentioning

confidence: 99%

Teaching mathematics with a holistic approach

Varghese

2009

International Journal of Inclusive Education

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Section: Resultsmentioning

confidence: 99%

Teaching mathematics with a holistic approach

Varghese

2009

International Journal of Inclusive Education

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“…When treating Native Americans, there can be cultural aspects that can pose difficulties or alter typical treatments. Lowe and Struthers (2001) suggest a conceptual framework that encompasses care, tradition, respect, connection, holism, trust, and spirituality, all of which are essential for the nursing care of Native Americans. These individuals are acutely aware of their surroundings and trust is difficult for them, especially of people who are not of Native American descent (Null, 1996).…”

Section: Cultural Impactmentioning

confidence: 99%

Systemic Scleroderma

Harris-Akers

Ramirez

2007

Advanced Emergency Nursing Journal

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This article aims to familiarize the practitioner with systemic scleroderma and addresses the various decisions needed for an appropriate continuity of care with this difficult disease. This incurable condition can account for many months or even years of testing before a definitive diagnosis is made. These circumstances take an enormous toll on patients and their families. This article discusses the epidemiology, pathophysiology, signs and symptoms, differential diagnosis, diagnostic tests, and treatment plan for patients with systemic scleroderma. This complicated disease process requires not only that practitioners be intuitive but also that these patients' caregivers become familiar with this chronic and debilitating disease process.

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“…Several Indigenous health frameworks stress the importance of relational aspects in healing, including respect, connection, trust, and spirituality (Cross, 2003;Hovey, Delormier, & McComber, 2014;Lowe & Struthers, 2001). First, Indigenous traditional healing practices often emphasize collective, holistic approaches for healing mind, body, and spiritual pain, which may differ from Western medicine that often focuses on the individual and physical aspects alone (Struthers, Eschiti, & Patchell, 2004).…”

Section: Culturally Bound Variablesmentioning

confidence: 99%

The healing relationship in Indigenous patients' pain care: Influences of racial concordance and patient ethnic salience on healthcare providers' pain assessment

Johnson-Jennings¹,

Tarraf²,

González³

2015

IJIH

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Indigenous persons suffer from among the highest rates of chronic pain in the United States. Using a relationship-centered medical decision-making framework, this study sought to examine the influence of Indigenous racial concordance and patient ethnic salience on providers' assessment of pain. From May to October 2010, pre-identified healthcare providers working exclusively with Indigenous patients in the United States were randomly assigned an online clinical case vignette presenting an Indigenous patient reporting chronic lower back pain. A 2 × 2 analysis of variance, between-subjects design, was conducted with the predictor variables racial concordance and patient ethnic salience on the outcome measure of providers' ratings of patient's pain on a visual analogue scale. We found a significant interactional effect between racial concordance and patient ethnic salience on providers' pain assessment ratings. Indigenous providers tended to rate the patient with higher Indigenous ethnic salience more congruently with the self-reported pain ratings, perhaps due to perceived similarities and lowered unconscious bias. This is the first known study to examine racial concordance of the healthcare provider and ethnic salience of the patient in pain care. This study informs healthcare provider practice and consideration of patients' racial/cultural attributes and possible influence on assessment bias, which may be particularly relevant among Indigenous patients. More research is needed to identify specific interventions to improve cultural awareness and sensitivity for Indigenous persons who suffer from pain.

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A Conceptual Framework of Nursing in Native American Culture

Cited by 68 publications

References 12 publications

Teaching mathematics with a holistic approach

Teaching mathematics with a holistic approach

Systemic Scleroderma

The healing relationship in Indigenous patients' pain care: Influences of racial concordance and patient ethnic salience on healthcare providers' pain assessment

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